ArticleClinical research in cardiology : official journal of the German Cardiac Society2010
Primary angioplasty for any patient with ST-elevation myocardial infarction? Guideline-adherent feasibility and impact on mortality in a rural infarction network.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- TNF-α, myocardial perfusion and function in patients with ST-segment elevation myocardial infarction and primary percutaneous coronary intervention.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Trial
- Observational
- Do gender differences in primary PCI mortality represent a different adherence to guideline recommended therapy? a multicenter observation.BMC cardiovascular disorders · 2014Observational
- Short term cost effectiveness of a regional myocardial infarction network.Health economics review · 2013Article
- Pre- and early in-hospital procedures in patients with acute coronary syndromes: first results of the "German chest pain unit registry".Clinical research in cardiology : official journal of the German Cardiac Society · 2012Article
- Influence of algorithm-based analgesia and sedation in patients after sudden cardiac arrest.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Article
- First clinical evaluation of a novel capacitive ECG system in patients with acute myocardial infarction.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Article
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to assess the guideline-adherent feasibility of area-wide primary angioplasty in rural German surroundings and its impact on reperfusion and outcome in patients with acute ST-elevation myocardial infarction (STEMI). METHODS AND
resultsAll consecutive patients with acute STEMI (n = 347) admitted to any of the hospitals (5 non invasive and 1 invasive with established 24 h/7 days primary angioplasty service) in a 350.000 inhabitant rural area during the year 2002 (n = 184) and 2005 (n = 163) were included in this registry. In 2002, emergency medical services transferred acute STEMI patients to the nearest emergency room, where reperfusion therapy (fibrinolysis or primary angioplasty) was organised. In 2005, all patients were transferred directly to the cathlab bypassing any emergency room when possible. Primary angioplasty increased from 53 to 89% (p < 0.01), fibrinolysis decreased from 27 to 2% (p < 0.01) and the no revascularisation rate from 21 to 9% (p < 0.01). Onset of pain to balloon time in primary angioplasty was reduced from median 339 to 191 min (p < 0.01), median first medical contact to balloon time in 2005 was 101 min. Overall, 6-month mortality decreased from 19 to 10% (p = 0.03).
conclusionsAfter transition to a uniform primary angioplasty concept, an increase in overall reperfusion rates and a decrease in time delays could be observed in a rural German infarction network.
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